     
        <table class="vertical_table" id='t_dilated_fundus_examination'>
            <caption>Dilated Fundus Examination</caption>
            <thead>
                <tr>
                    <th colspan="3">1. <?php echo xl('Dilated Fundus Examination'); ?>:</th>
                </tr>
				<tr>
                    <th colspan="3">2. <?php echo xl('Infrared Digital Photography Perfomed?'); ?></th>
                </tr>
            </thead>
            <tbody>
				<tr>
						<td><select type='text' id='1_dilated_1' name='1_dilated_1'>
							<option value='1' text='<?php echo xl('Normal')?>'>
								<?php echo xl('Normal')?>
							</option>
							<option value='2' text='<?php echo xl('Abnormal')?>'>
								<?php echo xl('Abnormal')?>
							</option>
						</select></td>				
				</tr>
				<tr>
					<td><select type='text' id='1_dilated_2' name='1_dilated_2'>
						<option value='1' text='<?php echo xl('Yes')?>'>
							<?php echo xl('Yes')?>
						</option>
						<option value='2' text='<?php echo xl('No')?>'>
							<?php echo xl('No')?>
						</option>
					</select></td>				
				</tr>
				
            </tbody>
        </table>